Avid Pediatric Therapy Group Llc | |
2 Rutgers Rd, Somers Point, NJ 08244-1332 | |
(609) 576-9016 | |
Not Available |
Full Name | Avid Pediatric Therapy Group Llc |
---|---|
Type | Facility |
Speciality | Speech-language Pathologist |
Location | 2 Rutgers Rd, Somers Point, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952146623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Provider Name | Jill Marie Difebbo |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1285142729 PECOS PAC ID: 9638615107 Enrollment ID: I20240719002699 |
Mailing Address | Practice Location Address |
---|---|
Avid Pediatric Therapy Group Llc 2 Rutgers Rd, Somers Point, NJ 08244-1332 Ph: () - | Avid Pediatric Therapy Group Llc 2 Rutgers Rd, Somers Point, NJ 08244-1332 Ph: (609) 576-9016 |
Mrs. Brittany D Stroker, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 16 Dartmouth Rd, Somers Point, NJ 08244 Phone: 732-779-0764 | |
Melinda S Dettinger, Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 67 Higbee Ave, Somers Point, NJ 08244 Phone: 609-204-4849 |